Door County Emergency Physicians, Llc
LBN: Door County Emergency Physicians, Llc
Door County Emergency Physicians, Llc is an health care organization with primary practice located at 323 S 18Th Ave , Sturgeon Bay WI 54235-1401. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Allopathic & Osteopathic Physicians / Emergency Medicine is the primary health care specialty.
Door County Emergency Physicians, Llc can be contacted via phone (414) 290-6720, or through Cierlik, Gregory A via phone (414) 290-6700.
Contact Information
Primary practice address
323 S 18Th Ave
Sturgeon Bay WI 54235-1401
Phone: (414) 290-6720
Fax: (414) 290-6755
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | ||
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X |
Profile Details
NPI number | 1174571376 |
---|---|
LBN Legal business name | Door County Emergency Physicians, Llc |
DBA Doing business as | |
Authorized official | Cierlik, Gregory A |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | May 4th, 2006 |
Last updated | Oct 20th, 2008 - about 17 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1174571376 | NPPES |
Wisconsin | Other | 020443900 | FEDERAL BLACK LUNG PROGRA |
Wisconsin | MEDICAID | 32898400 | FEDERAL BLACK LUNG PROGRA |
Wisconsin | Other | 125362301 | FEDERAL BLACK LUNG PROGRA |
Wisconsin | Other | CH7685 | FEDERAL BLACK LUNG PROGRA |
Wisconsin | Other | 130000713 | FEDERAL BLACK LUNG PROGRA |
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